Margaretha Baestaens, DPT
Individual provider Active NPI Physical Therapist · Saint Joseph, MI
NPI 1417030735 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1417030735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501008773 (MI)
- Practice address
- 2800 Niles Rd
Saint Joseph, MI 49085-3317 - Phone
- (269) 408-1944
- Fax
- (269) 409-1946
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191011001298 | MI | Practitioner - Physical Therapist in Private Practice | 0446142020 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501008773 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aging Fit, Inc. | Physical Therapist | Current |
Accepting new patients |
| LB Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2800 Niles Rd
Saint Joseph, MI 49085
Phone (269) 408-1944
2800 Niles Rd
Ste 1
Saint Joseph, MI 49085
Phone (269) 408-1990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501008773 | MI | Yes |
Addresses
Primary practice location
2800 Niles Rd
Saint Joseph, MI 49085-3317
Mailing address
2746 Sanctuary Dr
Stevensville, MI 49127-8313
Phone (269) 556-0881
Other providers in Saint Joseph, MI
- Corey Aukerman
- Cassandra Dawn Ault
- Julia E Austen
- Avalon Consulting, Inc.
- Axon Psychology Group, PC
- Bidisha Bagchi
- Kourosh Baghelai
- Abigail Jane Baker
- Alina McBride Baltazar
- John L Bard
All providers in Saint Joseph, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.